Brown, can you give us a brief overview of thyroid malignancies and what surgical residents should know about them for both their boards and the operating room? Yes.

There are several important categories or ways we think about thyroid cancer that will help one decide the type of treatment that the patient will need.

So the first thing is we grossly divide the thyroid cancers into well-differentiated thyroid cancers, poorly differentiated thyroid cancers, and anaplastic thyroid cancers.

The vast majority of thyroid cancers we see are well-differentiated thyroid cancers.

These are typically cancers that behave in a predictable fashion and that can be readily treated.

Within the well-differentiated thyroid cancer category, we have several subcategories.

The most common type we see is papillary thyroid cancer.

For each or any of these malignancies, is there any additional workup you would do before taking these patients to the operating room?

Brown, can you walk us through relevant steps of, uh, parathyroidectomy and kind of pointing out relevant anatomy as you walk us through that?

Yes, I'd be happy to.

So all-- At our institution, we do our parathyroidectomies under general anesthesia with recurrent laryngeal nerve monitoring.

So the patient would be placed, uh, supine in a modified beach chair position with the head, uh, gently extended and then with, uh, uh, intubated with a recurrent laryngeal nerve monitoring device.

So after the patient's positioned and prepped, we make our Kocher incision.

I try to put the incision about two finger breadths, breadths above the sternal notch, typically right below the cricoid cartilage.

Ideally, you know, if you look at, uh, say your neck or perhaps the necks of patients you see in the clinic, we all have little lines that run across our neck, and I try to, uh, put the incision in one of those lines.

Brown, can you address some of the, um, main complications of these surgical repairs and things we need to be cognizant of, uh, with p- post parathyroidectomy patients?

Taylor, what is MCP? What even is that? What does that stand for? What does it mean? Why is it important to people? You need to shed a little bit of light, please.

Yeah.

So MCP, I think I would think of almost just like an integration point for AI.

models.

So it allows you to connect Claude with Sage Intact or connect Microsoft Copilot with Sage Intact or a ChatGPT instance with Sage Intact.

And then you can use the prompting and that tool to generate outputs.

And that's going to be outputs within that platform services within your Sage Intact environment.

That was all there before this release, correct?

So what exactly do you guys have to do as bodybuilders to be in the best possible shape to be involved in competitions like these?

It's a very long process.

You have to play the waiting game, basically.

It's all about patience.

Bodybuilding is literally all patience.

So a lot of people want to begin a prep and get very, very lean, but it all starts on muscle.

How much muscle can you showcase? for most competitors they'll probably have to do a little cut bring down their calories things like that and then bring them back up again to gain some muscle so you need to start off with enough muscle to compete in the first place it's a big it's a big issue you'd see in bodybuilders nowadays anyways that they probably don't have enough muscle to begin a prep in the first place so it always starts there so you have to gain enough muscle initially and then once you do have enough then you basically start cutting then and you just have to get lean enough to showcase the muscle, try and maintain as much as you can.

What do you guys have to do to be successful? Is it down to the muscle? Is it down to how you show it? How does it work?